Individual provider · Type 1 NPI
Kathleen W. Smith, APN
Adult Health Clinical Nurse Specialist · Peoria, IL
NPI number
1992109755
Active
Practice location
900 Main Street Suite 280
Peoria, IL 61636-4688
Fax (309) 517-7476
Mailing address
10611 N Sleepy Hollow Rd
Peoria, IL 61615-1121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209.012013 (IL) |
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | 209012013 (IL) |
Adult Health Clinical Nurse Specialist: Definition to come...
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About NPI 1992109755
Kathleen W. Smith, APN's National Provider Identifier is 1992109755, issued on Oct 22, 2014. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Peoria, IL. The record was last updated on Jul 25, 2024.